Date Name of the organization * Address Surname of the operator and initial letters of their first name and patronymic name Tel./Fax * e-mail * CUSTOMIZATION DATA Height of the facility, м Number of apartments (residents) Design temperature of the outside air, С Heat-transfer agent Heat-transfer agent incoming from the heating system Summer temperature chart, С; delivery line/return line Mains pressure delivery line/return line, MPa (kgs/cm2) Heating system Heating heat load, kW/h Heat load connection diagram (dependent, independent) Number of heat exchangers of the heating system (indicate the % of reservation) Heat-transfer agent parameters in the system, delivery line/return line, 0С Hydraulic friction of the heating system, MPa Requirement for an establishment of automated charging station Hot water supply system Hot water supply heat load, kW/h Hot water supply connection diagram Number of heat exchangers of the hot water supply system (indicate the % of reservation) Heat-transfer agent parameters in the system, delivery line/return line, 0С Hydraulic friction of the hot water supply system, MPa Inlet pressure of the water-supply system, MPa (kgs/cm2) Cold water consumption inside the building t/h; diameter of the pipeline supply line Additional data Requirement for pump redundancy (indicate type of redundancy: at the warehouse, assembled, dual) Requirement for a heat-meter installation (indicate mark) Dimensions of the room for heat point assembly, m Minimum dimensions of gaps for the delivery of a heating point to the assembly site, m Additional information I give my consent for Personal data processing I give my consent for Personal data processing * Leave this field blank What code is in the image? * Send
