The TOTO Ultramax WASHLET+ S7A Low Profile One-Piece Elongated 1.28 GPF Universal Height Toilet is designed to conceal the WASHLET+ power cord and water supply hose for a seamless installation. WASHLET S7A features TOTO's technologically advanced EWATER+ system that mists the wand and toilet bowl, reducing the need for harsh cleaning chemicals. PREMIST wets the surface of the toilet bowl, aiding in the removal of waste and resulting in a better clean. WASHLET S7A is operated by a wireless remote with a 4-user memory storage to save preferred settings. WASHLET S7A features five spray settings, auto open and close lid, heated seat, a nightlight, and instantaneous water heating. The TOTO Ultramax features TOTO’s TORNADO FLUSH, a hole-free rim design with dual-nozzles that creates a centrifugal washing action that assists in rinsing the bowl more efficiently. This version of the TOTO Ultramax includes CEFIONTECT, a layer of exceptionally smooth glaze that minimizes waste from sticking to the ceramic. This one-piece toilet is designed with Universal Height, allowing for a more comfortable seated position across a wide range of users. The Ultramax comes ready for install into a 12" rough-in. The Ultramax is ADA compliant and meets the standards for EPA WaterSense and CALGreen requirements. Features a left-hand chrome trip lever. Additional items needed for installation and use must be purchased separately: Wax ring, toilet mounting bolts, and water supply lines.