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The tower has an explosives crate and a port-a-potty at its base. Planters containing an assortment of Appalachian flora line the stairs up the tower - these can be harvested for their contents. The top of the tower has two cooking stations (one inside and one outside on the balcony), and a locked footlocker (Picklock 1). A double bed with two civilian corpses is all that remains of the tower's previous occupants.
Gerald's note - On a dining table at the top of the tower.
East Mountain lookout appears only in Fallout 76.