In my experience, the 120/240 V 4 wire delta was used for occupancies with some 3? load. What I describe below is a not-uncommon older installation around the 7 county metro area I'm in.
The classic setting is a corner neighborhood grocery store set in a residential neighborhood. This "grocery" is the old Mom & Pop business that was possible in the '30s to the '60s (and before). Todays convenience stores and large-corporate-grocery-chains have long since competed Mom & Pop out of business, but many of the buildings remain along with their electrical configurations.
The PoCo transformer bank supplyed a number of 120/240 1? single family dwellings originally. Then as the neighborhood developed, the corner grocery was built. The PoCo simply added another can on the pole to give the grocery it's 3?, and, maybe, if there was enough load in the neigborhood along with the new 1? load in the grocery, increased the size of the original transformer.
The grocery has a couple 3? machines in it, and a lot of 120 and 240 V load, with some 120/240 V multiwire load.
The PoCo transformer supplying the 120/240 V load, will be sized larger than the transformer(s) connected to the high leg, sometimes tenfold.
The PoCo is not motivated to alter this transformer bank into any other configuration and will support it until the owners of the various properties served alter their properties.
The PoCo, at least in my area, will not install brand new 120/240 V 3? transformer banks for new buildings. . .120/240 V 3? is no longer "supplied".
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One of the "economies" of the 4 wire delta, especially in the early days of building the distribution grid out into the non-electrified areas of the country, was the PoCo line crew only had to bring two lines (two phases) to a two transformer bank. The line crew would connect the primary of the two transformers in an "Open Wye" and the secondaries of the two transformers in an "Open Delta", and, viola!, the customer(s) had 240 V 3? and 120/240 V 1?.
The PoCo minimized the line crew labor by not installing the third line, and also saved another transformer for installation somewhere else.
In those first days, the first connected load was low. As load was added, the distribution lines could be upgraded and the transformer sizes increased as required. It was more important to get the customer energized, in the beginning.