Submittal Sheet

PROJECT NAME ______________________________________________________________________________

LOCATION __________________________________________________________________________________

ARCHITECT__________________________________________________________________________________

ENGINEER __________________________________________________________________________________

CONTRACTOR ______________________________________________________________________________

SUBMITTED BY ______________________________ DATE ________________________________________

UNIT SUMMARY

SUBMITTAL COVER SHEET

Quantity

Unit Designation

Model No.

Total Cooling

Sensible Cooling

Air Ent. Evaporator

Air Lvg. Evaporator

Heating Input

Heating Output

CFM/ESP

EER/SEER

Electrical

Minimum Ampacity

Min.-Max. Breaker

Net Unit Weight

Accessory

Catalog Form Number

ACCESSORIES: NOTES:

PRINTED IN U.S.A. 10-06 DC FORM NO. X11-1123 REV. 2

Supersedes Form No. X11-1123 Rev. 1

PAGE 1
SUBMITTAL COVER SHEET PROJECT NAME ______________________________________________________________________________ LOCATION __________________________________________________________________________________ ARCHITECT__________________________________________________________________________________ ENGINEER __________________________________________________________________________________ CONTRACTOR ______________________________________________________________________________ SUBMITTED BY __________________
PAGE 2
FORM NO. X33-1281 REV. 2 Supersedes Form No. X33-1281 Rev. 1 SUBMITTAL SHEET FOR RGRM 95% A.F.U.E. WITH DUAL COMFORT CONTROL™ TWO-STAGE UPFLOW GAS FURNACES Models with Input Rates of 45,000, 60,000, 75,000, 90,000, 105,000 & 120,000 BTU/HR [13.19, 17.58, 22, 26.38, 30.77 & 35.17 kW] JOB NAME MODEL NO. CONTRACTOR OUTDOOR UNIT MODEL NO. ENGINEER LOCATION SUBMITTED FOR APPROVAL RECORD ORDER NO. DATE UNIT DATA HEATING PERFORMANCE TOTAL CAPACITY INPUT* ...... _______ MBH [kW] TOTAL CAPACITY OUTPUT* .
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UPFLOW MODELS MODEL RGRM- A B C D E F LEFT SIDE 04*M 06*M 07*M 07*Y 09*Z 10*Z 12*R 17.5 [445] 17.5 [445] 17.5 [445] 21 [533] 21 [533] 21 [533] 24.